HomeMy WebLinkAbouth2021-0354 - Permits�rA City of Newport Beach - Building Division 1111111111111111111111111111111111111111111111111
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 3 5 4
Permit Counter Phone (949)644-3288
i7
a a ,
Job Address: 1801 SABRINA TER BIdg:1 Floor: Suite
MECHANICAL Permit: H2O21-0354
Project No: 0384-2020
Inspection Requests Phone (949)644-3255
Description of Work: MECH/INSTALL (4) A/C UNITS 38dB, 43.5cIB, 42.52dB & 40dB (MITSUBISHI;
PEAD-A36AA7 & PEAD-A30AA7)
Inspector Area:2 Code Edit:
2019
Legal Description: N TR 2813 LOT 111
Owner: ARONOFF BARRY
Contractor:
URBAN MECHANICAL
Worker's Comp Insurance -
Address: 151 KALMUST DR STE H10
Address:
10621 BLOOMFIELD #25
Carrier: WESCO INS CO
e�g
COSTA MESA CA 92626
LOS ALAMITOS CA 90720
Policy No: W WC3486885
&y
Phone:
Phone:
714-614-2446
Expire :0910912021
Con State Lie:
594181
p
Issued Date:06/03/2021
Lie Expire:
05/31/2022
Bus Lie:
BT30005613
Processed By:
Lic Exp Date:
08/31/2021
0�
HVAC Items
FEES
FurnacesBoilers & Compressors
Ventilation
Other
Up to 100K BTU/hr:
0
$0.00
Up to 3HP:
4 $84.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
$0.00
Over 100K BTU/hr:
0
$0.00
> 3 HP to 15 HP:
0 $0.00
Exhaust Fan:
0 $0.00
Gas Line:
0 $0.00
$0.00
Wall/Floor Heaters:
0
$0.00
>15 HP to 30 HP:
0 $0.00
Attic Fan:
0 $0.00
Metal Fireplace:
0 $0.00
Heat Pumps & Package Units
>30 HP to 50 HP
0 $0.00
Down -Draft Fan:
0 $0.00
Record Mgt Fee:
$0.00
Up to 1OOK BTU/hr:
0
$0.00
>50 HP:
0 $0.00
Residential Hood:
0 $0.00 -
Additional Fee:
$63.75
Investigation:
$0.00
Over 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
Plan Check:
$73.08
Up to I BTU/hr:
0
$0.00
up to 1OK CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
Model:
Issuance:
$37.00
Up to 1.75M BTU/hr:
0
$0.00
Over 10K CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
Over 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Zoning PC:
$46.25
TOTAL: $304.08 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $304.08
PERMITS EXPLIZE J4QDAYS.4FT&R ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Mondaf - FrLday7fU0-a.t.n.10 6:$03xM.4nd Saturday from 8:00 a.m. to 6:00 p.m.
Y® i i
:. ®`
o .
°.0 1 0 1 e�,° 6°1 mue
IWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
1 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
nproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 000 of Division 3 of the Business and rofessio an I' se i 'n full force
nd effect. 9
l.
icense Class License No Date ` Contractor Signature
1IORKERS' COMPENSATION DECLARATION F Jr
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
AIWby affirm under penalty of perjury one of the following declarations:
and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
ce of the work for which this permit is issued. Policy No.
and wil ma ain workers' compensation insura�c�e, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa
carrier � d p lice num e� r e: 1 ;
Date
me of Agent Phone #
certify that, in the performance of t e hich is pepe itis d, I shall not employ any person in any manner so as to become subject to the workers' co pen ation laws of California, and agret
t, if I should become u 'ect to thew mp do wsio ection 3700 of the Labor Code, I shall forthwith comply with those provisio f
nature of Applicant Date
CLARATION REGA A CONSTRUCTION LENDING AGENCY
areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
lder's Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is corre
I agree to comply with all applicable city and county ordinances an I s t "Ing construction.
I authorize representatives of this city or county o e r the abov -id le P�' riffs lion purposes. �., L3
matureof Property Owner or Authorized Agent C' rtl'�roperty Owners or Authorized Agents Name i IA { � Da i(G
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FEDEV4 K&VLATM PAV 6f QP T7RC 40 AND
AQMEINW LEf401
PERMITEXPIRED
❑ ItLAiMC&EDAS43EETO$JYO*17FJC$Ti9)21TO_
El - EPA
❑ AQMD'
❑ ASBESTOS NORTICARONISNOTAPPLICABLETO
PROP0SEii11E9C1JTV%
u ee ee e o no e e
PERMIT CANCELLED
PERMITEXTENDED
PERMIT FINAL
CERT7FICATEOF
SIGNATURE..
OCCUPANCYISSUED